[Clinical analysis of bronchoplastic surgery for lung cancer after 2000].
We investigated surgical complications and prognosis of bronchoplasty and bronchoplasty with pulmonary angioplasty (broncho-angioplasty) for lung cancer. Between October 2000 and October 2007, 37 bronchoplastic procedures were done in 572 patients who underwent lung resections for lung cancer. Eleven (29.7%) bronchoplasties were done with pulmonary angioplasty. There was no operative mortality and 1 hospital mortality (2.7%) causing by myocardial infarction. Six of 11 postoperative complications were bronchial complications and 2 additional lung resections were needed. The 5-year survival for all patients was 55.2% and for bronchoplasty was 57.8%. Though the 5-year survival of broncho-angioplasty was not able to calculate at present, the 3-year survival of which was 72.9%. There was no death of patients with adenocarcinoma after introduction of pre-operative assessment by FDG-PET for lymph node metastasis. These data suggest that bronchoplasty and broncho-angioplasty are safe operative procedures and could provide acceptable intermediate survivals with modern multimodality diagnostic and therapeutic tools.
Matsumura
Y
Y
Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
Okada
Y
Y
Hoshikawa
Y
Y
Endo
C
C
Sado
T
T
Sakurada
A
A
Noda
M
M
Sugawara
T
T
Matsuda
Y
Y
Kondo
T
T
D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D017130:Angioplasty / Q000401:mortality; D001980:Bronchi / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods* / Q000401:mortality; D011183:Postoperative Complications; D011379:Prognosis; D011651:Pulmonary Artery / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods* / Q000401:mortality; D012189:Retrospective Studies; D015996:Survival Rate